- Corewell Health (Kentwood, MI)
- …or equivalent + 1 year of relevant experience in related field Preferred + Prior Authorization experience + Epic experience + Payor portal experience + Basic ... by way of obtaining accurate and timely authorizations. Crucial to obtaining an authorization is the ability to read and understand basic insurance information as… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Oversees and provides direction to team of Referral Prior Authorization Representatives. Provides direction and supervision to adhere to ... enterprise standards of referral and prior authorization guidelines. Accountable for planning, execution,...Other duties as assigned **QUALIFICATIONS:** + High School diploma, Associate Degree in Medical or Secretarial or related field… more
- University of Rochester (Rochester, NY)
- …patient arrival + Responds in a timely manner to all eRecord messages with prior authorization status, when appropriate. Updates the requesting office of the ... into the patient chart. + Assists in cross-coverage of the Medication Prior Authorization Department when necessary. Other duties as assigned **QUALIFICATIONS:**… more
- Medtronic (Fort Lauderdale, FL)
- **CAREERS THAT CHANGE LIVES** The Associate Sales Representative (ASR) will partner with the field sales and clinical teams and act as a resource in markets to ... HAVE** + 1-3 years previous field sales experience + Prior medical device, business to business or pharmaceutical sales...within the Responsibilities section of this job description are representative of those that must be met by an… more
- Carle (Urbana, IL)
- Bus Svc Rep Entry - HRC Reg Day + Department: Registration Center - CFH_10_20 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment ... appropriate reimbursement for both the patient and the hospital. Performs prior authorizations for patients admission/surgeries to ensure reimbursement for services… more
- University of Rochester (Rochester, NY)
- …but is not limited to demographic, co-pay/deductibles, benefit information, referrals/ authorization , PCP information and Self Pay recovery. Responsible for ... contacting patient/ representative regarding registration, insurance coverage or lack of to...**_Weight_** **_=45%_** Responsible for pre-verification of insurance five days prior to sched appointments, real time verification (urgent care,… more
- Dignity Health (Oxnard, CA)
- …+ Familiarity with third party administrator operations such as eligibility, prior authorization , claims administration and provider network administration. ... that put patient care first. **Responsibilities** As a Provider Relations Representative with the Dignity Health Management Services Organization (DHMSO), now part… more
- Corewell Health (St. Joseph, MI)
- …reconciles multi-department deposit. + Obtains insurance authorizations and/or verifies that prior authorization has been obtained; assists with retroactive ... maintenance gaps. + Ability to perform the role of Patient Services Representative , Associate when necessary. + Actively participates in safety initiatives… more
- Crouse Hospital (Syracuse, NY)
- The Patient Access Representative ensures that all required patient demographic and insurance data is collected for the assigned department. Roles and ... of all insurance payors and ensures all pre-certification and authorization requirements are completed with the highest level of...family members on the meaning of all forms required prior to obtaining hospital treatment to ensure full completion… more
- University of Rochester (Rochester, NY)
- …to ensure program compliance. **Responsibilities:** **Scheduling, Patient Management and Prior Authorizations (55%)** + Manage the conversion of pre-transplant ... multiple areas of the electronic medical record. Decides based on previous authorization approvals and denial experience, the relevant information to be included in… more
- University of Rochester (Rochester, NY)
- …is scheduled as organ acquisition billing or billed to insurance. Obtain prior authorization if needed. Testing and multidisciplinary appointments are scheduled ... experience + Or equivalent combination of education and experience required + Associate 's degree in Medical, Secretarial or related field preferred. + Demonstrated… more
- Northwell Health (Sleepy Hollow, NY)
- **Req Number** 129299 The Associate Financial Services Representative will be an exceptionally customer focused individual that will provide information, fulfill ... Responsibilities: + Assists in the verification of insurance benefits for services prior to admission + Obtains timely pre- authorization for all outpatient… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Scientific Associate Director, DMPK Project Representative ** Challenging. Meaningful. ... plays a critical role in IND submissions and marketing authorization applications. We utilize our deep expertise in ADME...across the globe. PCO is looking for a Scientific Associate Director to join the Dev DMPK group that… more
- Tidelands Health (Pawleys Island, SC)
- …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... Five (5) year of experience in Healthcare Revenue Cycle that includes prior authorization . **KNOWLEDGE/SKILLS/ABILITIES** : * Ability to interact successfully… more
- CommonSpirit Health Mountain Region (Layton, UT)
- …will verify insurance benefits; explain financial requirements to the patient or patient representative and collect the outstanding patient portion prior to or ... success. The primary job role for the Flex Team Representative will be to support the facilities on-site by...facilities on-site by covering open shifts/positions left vacant by associate termination, medical leave, PTO, HFWA and other … more
- Trinity Health (Ann Arbor, MI)
- …registration record. Communicates with patients their financial responsibility, benefit and authorization status prior to clinical services. + Facilitate cash ... 6A. Under limited supervision; determines need for and obtains authorization for treatment /procedures and assignment of benefits required....collection as appropriate prior to and at the time of service, including… more
- Pfizer (Tampa, FL)
- …that significantly improve their lives. The Pfizer Connect Health & Science Representative (PCHR) is responsible to increase product awareness, educate customers and ... QUALIFICATIONS** + Bachelor's degree with 0-3 years of relevant experience; OR an Associate 's degree with four years of relevant experience; ORSix years of relevant… more
- Carle (Urbana, IL)
- Patient Services Representative for Float Pool + Department: Float Staff - CPG + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment ... Requirements: None + Other Posting Information: As a Float Patient Services Representative , you will have opportunities to grow your skills, work in different… more
- Commonwealth Care Alliance (Cerritos, CA)
- …of member appointments, transportation, translation, and interpretation services. + Initiates prior authorization intake process. + Assist in resolving member ... members and all those involved in CCA members' care. The Member Service Representative (MSR) is responsible to provide a best-in-class service experience to all… more
- Penn Medicine (King Of Prussia, PA)
- …information to internal and external customers for admissions processing; Obtain initial prior authorization for services; obtain ongoing prior ... processes into daily practice, and consistently implementing the prescribed Authorization Tracking process for all assigned patients. Responsibilities: + Maintains… more